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Login
STEP 1 : BASIC INFORMATION
I am a returning student *
Email Address *
Retype Email Address *
Create Password *
Retype Password *
First Name *
Last Name *
Name you would like to be called (If different from first name)
Sex *
 Male      Female  
Birth Date *
Marital Status *
Referred By
 
Have you attended any of CEC's previous workshops/sessions?
 Yes      No
Address Line 1 *
Address Line 2
City *
Country *
State Province *
 
Zip Code *
*
Employer
Occupation
In case of emergency, contact *
Relationship *
*
 
 
 
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STEP 2 : WORKSHOP OF INTEREST
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STEP 3 : HEALTH INFORMATION
STEP 4 : CARD AND BILLING INFORMATION
STEP 5 : ORDER CONFIRMATION
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